NPI 1053442038

Shelley Radosta, DC

Practitioner Chiropractor Mandeville, LA

Practice location

Address: 1357 N Causeway Blvd STE 2, Mandeville, LA 70471-3408
Phone: (985) 778-0880
Fax: (985) 778-0882

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1388 (LA)

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Registry record

NPI: 1053442038
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2007
Record last updated: 29 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.